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It's like a Vit C

It's like a Vit C

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  1. It's like a Vit C

    OB/Maternal be an elective class for male nursing students

    Well, I take back everything I said in your defense. I'm sure you will no doubt make a stellar nurse when you rely on the education of others. After all, that's "literally why they have doctors for."
  2. It's like a Vit C

    OB/Maternal be an elective class for male nursing students

    I feel most people on this thread need to calm down. The OP's post is ignorant... but seemingly unintentionally (that's a joke). It doesn't seem worthwhile to start calling people insensitive and wishing never to be in their care. I think the nature of this inquiry simply revolves around the fact that one is made to learn a bunch of information simply to pass a test. Certainly, it doesn't seem the OP realizes that the majority of a BSN education is not applicable to the "real life" of a nurse. I must admit, I can't tell you when a full semester's worth of knowledge of the writings of the antiquities proved useful to my nursing career. Of course, taking some odd amount of general education credits is necessary for any bachelor degree. Overall, to me, the original post seems innocent enough. To answer the OP's question though. Simply put. Maternity and OB and Peds is just part of the education of a nurse. It proves valuable in rare circumstances from a professional standpoint for a nurse who is a man; however, it does lead to a more well rounded understanding of the complexities of pregnancy/child birth. If for no other reason, appreciate the fact that learning about OB/GYN makes one more able to be empathetic and understanding. In addition, a basic knowledge of this stuff can help make for better critical thinking in rare situations. If you cannot appreciate that, then simply think of it as another requirement like phys ed or a philosophy class.
  3. It's like a Vit C

    5 things would have detered nurse from killing

    I personally believe she should not have been given the means to further her own narrative and agenda through this article. To claim that more regulating of insulin would have prevented her from killing people is most likely not true. Then she moves on to her "lack of oversight" in the medication room. This combination alone of supposed errors in the system just makes it seem like she is pushing for a world where all nurses are having their every move constantly monitored just to make sure they aren't off killing people. If they started monitoring insulin, you could kill with any number of "non-controlled" substances. I suppose all meds must then be diligently counted before and after each shift. Of course, the conversation then shifts to blaming psychotropics and the prescriber of them. The fact that she said that the prescriber wasn't "probing enough" is outrageous. I suppose that she believes her medication management appointments should have looked like this... Doc: How are you doing today? Patient: I'm fine. Doc: Are you sure...? To me, it seems like you may be hiding the fact that you are off killing people in your day job. Nah, forget it, here take your meds. I'm alarmed that this person was given the time of day or even asked what could have prevented this from happening. I worry that some administrators and higher ups are going to look at these responses and be like "OH NO! We don't have constant oversight and glass walls everywhere. How will we ever will we make sure our nurses aren't serial killers." In my opinion, if someone is intent on killing another person, there is probably little that anyone could do to stop them. Unless someone actually comes to you and tells you of their plans, how would anyone be able to perceive that someone is/was/or is going to be a killer?
  4. It's like a Vit C

    Working as an online nursing tutor

    I have, and I think the commitment in being an actual faculty member, be it online or in-person, would be too much for me right now.
  5. It's like a Vit C

    Working as an online nursing tutor

    Hello All, I have been thinking of getting some type of a side job that I could do from home. (I am currently a PMHNP full time). I like teaching students and have some experience with it and thought that online nursing tutoring may be a good option. Does anyone have any experience with this and would like to share some insight into what it's like? I'm curious about the different companies that offer it and what the pay/expectations/time commitments of each are. Thanks for any help.
  6. It's like a Vit C

    Pt fell and I think its my fault

    One of the biggest take aways from this incident should be to never chart that you gave a med if you didn't actually give it. From an outsiders perspective (I'm not accusing you of this), but it may seem in this incident that you're trying to cover something up.
  7. It's like a Vit C

    PMHNPs, what is a typical day like for you?

    I work outpatient only. I typically see about 15-20 medication management appointments a day for the people on my own caseload. The times for each appointment vary on complexity and the history I have with the client (typically 5-20 minutes). No therapy at all really. I also do about one new psych eval a day for an hour. I work 10 hour days 4 days a week. Its a pretty typical and (mostly) a good gig.
  8. It's like a Vit C

    I am not satisfied with my assigned preceptorship unit

    You are putting entirely too much weight on this situation. Nursing is almost all learned on the job after graduation. Get what you can out of the experience and move on towards graduation.
  9. It's like a Vit C

    Hand Massages

    I think that's absurd! I understand the hypothetical benefit to the patient but to expect a nurse to have the time to massage people's hands is unreasonable. Do they really want you to chart that or are you exaggerating?
  10. It's like a Vit C

    Amazon Textbook Rentals?

    Great service! I highly recommend it. They have everything, prices are good an the books were in good condition. It's so much cheaper than buying and you aren't left with a stack of books that become worthless in a year or two. Figure out which books you feel you would need to reference later on in your career, buy those then rent everything else.
  11. It's like a Vit C

    Can you refuse to give care to a resident in LTC?

    I guess everyone would handle this situation in a different way. From what you're describing about this resident it sounds to me like you may want to handle your communication with him in a different way. Just because he is acting like a child doesn't mean you need to talk to him like one. I'm thinking the constant talk about how he is acting inappropriately and let me know when you're ready for me to help you is equivalent to telling a kid to take a time out in the corner. I get your frustration and not wanting to be abused. I can tell you only how I would try to handle this guy. First, I would like to know what kind of a guy he was before he became my patient. It could be that he talks like this everyone in his life and everyone he knew talked the same. It sounds to me like the guy is frustrated in his situation and his personality is simply to beat up on everyone else around him. It could be he only respects people who talk tough and curse and despises those that try to change his behavior. I always changed my personality to mirror my patients. Usually it worked, sometimes it didn't. If he asked me to get his effing water, I could picture myself laughing getting the water and jokingly saying here's you effing water, now I will get the eff out. I've encountered a lot of patients like this and getting on there level as long as you're not being confrontational with them can do wonders for the nurse patient relationship. I would make an effort to get to know the guy. You would probably be the only one who tried in a long time.
  12. It's like a Vit C

    to AMA or not to AMA?

    And what is their great idea for safely stopping the patient? I actually think I'm drifting a little away from topic but this kind of talk from supervisors bothers me. If you tried to convince them to stay and that didn't work and they still wanted to sign AMA. What are you expected to do in the time between calling the provider for AMA discussion and the time that discussion actually takes place.
  13. It's like a Vit C

    to AMA or not to AMA?

    I agree but at no time in the description of the OPs case was the patient involuntarily comitted for psychiatric treatment. That being the case, the nurse cannot and by all means for their own safety should not physically prevent the patient from leaving. The provider needs to be contacted to make the decision to allow AMA or not. If provider says no to AMA, as I believe the OP believes would have happened, then said provider better have the proper paperwork being completed for an involuntarily comittment. Otherwise what happens is you have a doctor or whomever saying patient can't leave but no safe way of preventing them from leaving. In the event that that patient is on an un locked medical unit it puts the nurse in a tough spot. A patient that was deemed by a provider to be not safe to leave, from what I believe to be true (I'm willing to be wrong) without having any appropriate signed documentation of this cannot be physically or chemically prevented from leaving. A system must be in place to ensure the safety of the staff and patient.
  14. It's like a Vit C

    to AMA or not to AMA?

    It is a violation of human rights to hold that person against they're will unless they are directly a danger to themselves or others and have been committed for mental health treatment and should be in a locked unit. Competency is not a medical decision and only a judge can declare someone incompetent. That being said my impression of your role in the situation is as follows. Knowing that you feel the patient is in danger do your best to convince them to stay for treatment. If they refuse call MD to sign AMA. If MD refuses and patient wants to leave make sure IV is out and never physically stop them. You don't want a patient leaving with an IV. If MD gives a problem because they ordered fluids then have them come down to the unit and explain it to them. Ok now for the final part. To really cover your butt tell the patient that you and the MD feel he is unsafe to leave however I cannot stop you. Tell them that if they decide to leave that you will have to call security and that security will try to convince them to stay. No patient in the situation you're describing should be physically or chemically restrained. If after being warned that you will call security patient still wants to leave then let them and call security. Afterward document everything.
  15. It's like a Vit C

    Psychiatric Nurse Practitioners?

    I almost wish I did work in a state where NPs couldn't prescribe benzos or stims. If that was the case it would completely remove all the confrontation inherent in being a responsible prescriber. It would be so nice to just say "sorry, I cannot prescribe you this medication as we live in a state with outlandish and outdated practice restrictions."
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